What if something goes wrong? A grounded theory study of parents’ decision-making processes around mode of breech birth at term gestation

Thompson, E.M.; Brett, Jo; Burns, Ethel

doi:10.1016/j.midw.2019.08.006

Cited by 11 publications

(16 citation statements)

References 45 publications

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“…Resources and supports that women utilized during the decision-making process included family and friends, clinicians known to be supportive of vaginal breech birth, social media support groups (shared experiences), breech literature and simple Internet searches. Thompson, Brett, and & Burns (2019) identified factors which were shown to influence birth-mode decision making for breech presentation at term, and their findings are echoed by this study.…”

Section: Decision Makingsupporting

confidence: 52%

Women’s experiences of breech birth and disciplinary power

Morris

Geraghty

Sundin

2021

Journal of Advanced Nursing

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Aims: To explore women's experiences of breech pregnancy and birth to identify areas in practice for improvement.Design: A descriptive exploratory study was conducted involving 20 women who had experienced a breech birth between 2013 and 2018.Methods: Semi-structured interviews were audio recorded and transcribed.Transcripts were examined using a free-form 'circling and parking' style of analysis.Foucault's concepts of power/knowledge were utilized to describe existing power relations.Results: Women experienced varying degrees of disciplinary power throughout their experiences. Knowledge was used as a means of enforcing disciplinary power by some

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Section: Decision Makingsupporting

confidence: 52%

Women’s experiences of breech birth and disciplinary power

Morris

Geraghty

Sundin

2021

Journal of Advanced Nursing

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“…A grounded theory study by Thompson et al 13 explored birth mode decision making for term breech. Parents were asked to recount their experiences.…”

Section: Resultsmentioning

confidence: 99%

“…Other participants discussed the struggle of dealing with the unknowns of birth and how their limited options affected them emotionally 13 :…”

Section: Resultsmentioning

confidence: 99%

“…This category was divided into two dimensions: Decision making process and influences, and Breeching the system. Birth mode decision making is known to comprise a complex interplay between several internal and external factors 4 , 13 . The majority of women in these studies sought information from multiple sources, particularly internet-based information.…”

Section: Resultsmentioning

confidence: 99%

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Women’s experiences of breech birth decision making: An integrated review

2022

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INTRODUCTION Currently, caesarean section is the primary mode of birth for a breech presenting fetus, leading to a deskilling of clinicians and limitation of birth choices for women. The aim of this review is to present a synthesized summary of existing literature related to women’s experiences of breech birth mode decision-making. METHODS A systematic search of the literature was conducted in April 2021, utilizing five databases to identify and obtain peer-reviewed articles meeting the predetermined selection criteria. RESULTS Four major categories were synthesized from the integrated review: 1) Women who desire a vaginal birth may experience a range of negative emotions such as feelings of disempowerment, loss, uncertainty and a sense of isolation; 2) Women who experience a breech presentation at term experience significant pressures to conform to expectations of medical professionals and their families due to perceptions of risk related to breech birth; 3) Breech birth decision-making in a limiting system; and 4) Overall satisfaction with the decision to plan a vaginal breech birth. CONCLUSION Women with a breech presenting fetus at term experience a complex range of emotions and internal and external pressures due to perceptions of risk around breech birth. Midwives were seen as helpful throughout the breech experience. The reduced caesarean section rate for breech, observed in studies exploring specialized care pathways or dedicated services, could reduce the incidence of Severe Acute Maternal Morbidity.

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“…In this case, the parents chose to proceed with a vaginal breech birth. Although not initially offered, the option of support from an experienced midwife able to facilitate a physiological breech birth was important to the parents’ decision‐making process, enabling them to proceed with an experience much more like the “normal birth” they were expecting …”

Section: Discussionmentioning

confidence: 99%

Face‐to‐pubes rotational maneuver for bilateral nuchal arms in a vaginal breech birth, resolved in an upright maternal position: A case report

Walker

Spillane

2020

Birth

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Background A physiological breech birth is one in which the woman is encouraged to remain active throughout her labor and able to assume the position of her choice for the birth. Use of this strategy within the United Kingdom National Health Service has led to the use of innovative maneuvers to relieve obstruction when women give birth in upright positions, for example, kneeling or standing. This includes use of the face‐to‐pubes rotational maneuver to relieve extended nuchal arm(s). In this paper, we report a case where the face‐to‐pubes rotational maneuver was used to relieve bilateral nuchal arm entrapment in a breech birth. Methods Single‐case study. We aimed to generate an in‐depth understanding of how this maneuver works and how professionals decide to use it by exploring its use in a real‐life context. Results The face‐to‐pubes rotational maneuver appears to be an effective method of relieving nuchal arm entrapment when used by experienced hands. In cases of bilateral nuchal arm entrapment, elevation to a higher station may be necessary to dis‐impact the arms above the pelvic inlet before the fetus can be rotated. After face‐to‐pubes rotation and release of arms, the head should be realigned in an occiput anterior position for delivery. Conclusion The face‐to‐pubes rotational maneuver can be taught for resolution of nuchal arms in an upright position. Parents should be informed of the availability or not of a specialist midwife trained in physiological breech birth, as this may be important to their decision‐making.

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What if something goes wrong? A grounded theory study of parents’ decision-making processes around mode of breech birth at term gestation

Cited by 11 publications

References 45 publications

Women’s experiences of breech birth and disciplinary power

Women’s experiences of breech birth and disciplinary power

Women’s experiences of breech birth decision making: An integrated review

Face‐to‐pubes rotational maneuver for bilateral nuchal arms in a vaginal breech birth, resolved in an upright maternal position: A case report

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